| NPI | 1003183989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61018741) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C4234) |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2020-11-30 |